Many rape victims are unacknowledged. These victims do not label their experience as rape; instead they give the experience a more benign label, such as a miscommunication. The current study examined the relationship between victims' acknowledgment status and post-assault behaviors, moving beyond prior research. Analyses of covariance were conducted comparing the post-assault experiences of unacknowledged and acknowledged college rape victims (n = 256), controlling for differences in victims' assault characteristics, multiple victimization, and post-traumatic stress symptoms. Results supported that unacknowledged and acknowledged victims differed in their coping, disclosure, belief in justice, and receipt of egocentric reactions following disclosure. Implications for future work examining the dynamic interplay among assault characteristics, sexual scripts, acknowledgment status, and post-assault factors are discussed.
Objective-To compare the National Institute of Health's (NIH) body mass index (BMI)-based classification to identify obesity in comparison with the World Health Organization (WHO)'s percent body fat (%BF) -based reference standard among white, black and Hispanic reproductive-aged women.Methods-Body weight, height, BMI and %BF (DXA generated) were determined for 555 healthy adult women 20 to 33 years of age (M ± s.d.; 26.5 ± 4.0 years). Diagnostic accuracy of the NIH based obesity definition (BMI ≥ 30 kg/m 2 ) was determined using the WHO reference standard (%BF >35%).Results-Obesity as classified by the NIH (BMI ≥ 30 kg/m 2 ) and WHO (%BF >35%) identified 205 (36.9%) and 350 (63.1%) of the women as obese, respectively. NIH defined obesity cutoff values had 47.8%, 75.0% and 53.9% sensitivity in white, black and Hispanic women, respectively. White and Hispanic women had 2.9% greater %BF than black women for a given BMI. Receiver operating characteristics curves analyses showed that the respective sensitivities improved to 85.6%, 81.3%, and 83.2%, and that 311 women (56.0%) were classified as obese as a whole when race/ethnic specific BMI cutoff values driven by our data (BMI≥ 25.5, 28.7, and 26.2 kg/m 2 for white, black and Hispanic women, respectively) were used to detect %BF-defined obesity.Conclusions-Current BMI cutoff values recommended by the NIH failed to identify nearly half of reproductive-aged women who met the criteria for obesity by %BF. Using race/ethnic specific BMI cutoff values would more accurately identify obesity in this population than the existing classification system.
Adolescents exposed to violence are at increased risk of multiple adverse health behaviors. Programs designed to improve health outcomes should target this high-risk group.
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